Organization
MISSOURI NURSING HOME & REHAB LLC
Active
Other names
Community Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAFIQ M MALIK (PRESIDENT)
(573) 335-3044
Entity
Organization
Contact information
Practice address
783 WEBER ROAD, FARMINGTON, MO 63640-3318
(573) 756-8998
(573) 756-1577
Mailing address
2215 BROADWAY ST, CAPE GIRARDEAU, MO 63701-4403
(573) 271-5311
(573) 335-6724
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/25/2025
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